Preventing urinary incontinence in women

Curr Opin Obstet Gynecol. 2013 Oct;25(5):388-94. doi: 10.1097/GCO.0b013e328364a35d.

Abstract

Purpose of review: This review examines the evidence to date, analyzes specific risk factors and assesses the ability to prevent urinary incontinence in women, while providing clinical recommendations. More extraordinary risk factors such as ethnicity and race, mixed and fecal incontinence, iatrogenic and neurogenic factors should be discussed in a follow-up report.

Recent findings: Studies have revealed that certain factors place women at risk for developing urinary incontinence, including age, obesity, diabetes, pregnancy and delivery, high-impact physical exercise factors and estrogen deficiency.

Summary: Healthcare providers should screen women who are at risk for developing urinary incontinence and institute specific interventions, specifically behavioral and even rehabilitative techniques, to prevent this prevalent and distressing condition.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adult
  • Age Factors
  • Delivery, Obstetric / adverse effects*
  • Diet
  • Estrogens / deficiency*
  • Estrogens / therapeutic use
  • Exercise
  • Exercise Therapy / methods
  • Female
  • Humans
  • Middle Aged
  • Obesity / complications
  • Obesity / epidemiology
  • Obesity / prevention & control*
  • Pelvic Floor / physiopathology
  • Postnatal Care / methods
  • Pregnancy
  • Pregnancy Complications
  • Risk Reduction Behavior*
  • Urinary Incontinence / epidemiology
  • Urinary Incontinence / etiology
  • Urinary Incontinence / prevention & control*

Substances

  • Estrogens